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造影显示冠(状动)脉形态正常的急性心肌梗塞(AMI)患者,于发病早期冠脉内滴注链激酶后,可望恢复血流灌注;这提示存在着血栓栓塞。本文回顾分析这类患者血凝、血小板反应性和纤溶诸参数的改变。 1974至1984年间,作者在荷兰对连续791(男660、女131)例7 0岁以下的透壁性AMI患者,于发病后2周至3个月内进行冠脉和左室造影。其中
Angiography showed that patients with acute myocardial infarction (AMI) with normal coronary artery morphology were able to resume blood flow perfusion after intracoronary infusion of streptokinase; this suggests thromboembolism. This article retrospectively analyzed such patients with changes in blood coagulation, platelet reactivity and fibrinolysis parameters. Between 1974 and 1984, the authors performed coronary and left ventricular angiography in a continuous series of 791 (660 vs. 131) patients with transmural AMI under 70 years of age within 2 weeks to 3 months after onset. among them